Ages 40-64 Years: Immunizations

□ Diphtheria and reduced tetanus toxoids and acellular pertussis vaccine booster - substitute one-time dose of Tdap for Td booster; then boost with Td every 10 years (See the Centers for Disease Control and Prevention for more information.
□ Herpes zoster - single dose in adults aged 60 years or older
□ Influenza vaccine - annually
□ Measles-mumps-rubella vaccine - for those born in 1957 or later and not previously immunized
□ Varicella vaccine - one series for those without evidence of immunity

□ Hepatitis A vaccine - consider combination vaccine for those at risk for hepatitis A and B
□ Hepatitis B vaccine - consider combination vaccine for those at risk for hepatitis A and B
□ Measles-mumps-rubella vaccine - for those born before 1957
□ Meningococcal vaccine
□ Pneumococcal vaccine